Online Enrolment

South Coast Academy

Enrolment Form Process

Personal Details

Step 1

Part A: Demographic Information

Step 2

Part B: Funding Information

Step 3

Part C: Course Enrolment

Step 4

Consent to Information

Step 5

Title (please pick one)

Gender

Given Name (Legal Given Name)

Surname (Legal Family Name)

Unique Student Identifier (USI)

Phone Number

Date of Birth

Address (Current Residential Address (usual residence)

Postal Address (leave blank if the same as above)

Do you have a CHESSN? If yes please add below

CHESSN

Tax File Number (TFN)

Next of Kin Name

Relationship to Student

Next of Kin Phone

Next of Kin email address

Next of Kin Address

Forms of Identification - Please provide a copy of ONE (1) primary, and TWO (2) secondary forms if ID. Primary: Australian/Internation Passport, Brith Certificate, Citizenship Certificate. Secondary: Driver's licence, Medicare Card, NSW Photo Card, Current telephone, water, gas or electiricty bill in your name.

1. Employment Information - One the following categories, which best describes your current employment status (Tick one box)

Full Time Employee Part Time Employee Self Employed - Not employing others Employer Employed - unpaid worker in family business Unemployed - seeking full time Unemployed - seeking part time Not Employed - not seeking employment

2. Are you currently enrolled in Secondary School?

3. What is your highest COMPLETED school level?

3. 1 In what year did you complete this school level?

4. In which country were you born?

4. 1 Resident Type - Choose one

Australian Citizen Permanent Australian Resident New Zealand Citizen Humanitarian Visa Holder

5. Have you SUCCESSFULLY Completed any of the following qualifications

5. 1 Would you like to apply for a Recognition of Prior Learning (RPL) or Credit Transfer (CT)?

Yes - please complete the RPL/CT Form No

Please upload your RPL or CT Form and Evidence here if applicable

6. Do you speak a language other than English at home?

Yes - Please specify in box below No

6. 1 Language Specified Here

7. Do you consider yourself to have a disability, impairment or long term condition?

Yes No

7. 1 If yes, please indicate the area(s) of disability, impairment or long term condition (Select all that apply)

7. 2 Have you been assessed by a specialists support professional as a student with a disability?

Yes - Please attach supporting information No

7. 3 Evidence - Tick all that apply)

Evidence - Upload Here if required

7.4 Do you require special assistance?

Yes - This will be discussed with our Student Support Coordinator No

8. Are you of Aboriginal or Torres Islander Origin?

No Yes, Aboriginal Yes, Torres Strait Islander, Yes, Both Aboriginal and Torres Strait Islander

1. Have you undertaken a previous Smart and Skilled qualification?

Yes No

1. 2 If yes, what year did you undertake this course?

2. Are you registered or intending to be registered in an apprenticeship or traineeship for this qualification?

Yes No

2.1 If yes, which type?

Apprenticeship School Based Apprenticeship School Based Apprenticeship

2.2 Please provide your employer details if ticked yes in above section

3. NSW Social Housing

I live in NSW Housing I, or my Household, am on the NSW Housing Register None of the above

4. Centrelink Benefits - Are you a recipient of any of the following

Age Pension Austudy Carer Payment Exceptional Circumstance Relief Payment Family Tax A - Maximum Rate Farm Household Alowance Newstart Parenting Payment (Single) Sickness Allowance Special Benefit Veterans Affairs Pension Veterans' Children Education Scheme Widow Allowance Widow B Pension Wife Pension Youth Allowance Disability Support Pension None of the Above

4.1 If yes, please provide a copy of one of the following: A letter from the Department of Himan Services (Centrelink), A Current CRN Card, A Current Centrelink Income Statement, Other evidence that clearly shows the CRN and benfit category

5. Are you an Employment Service Provider Client?

Yes No

5.1 If yes, Who is your Employment pservice provider and what is your Client ID?

6. Select your major reason for study.

Get a job Extra skills for my job Try for. adifferent career To Get a better job or promotion It was a requirement of my job Start my own business Try for a different career Personal Interest Develop my business

1. Enter the Qualification/Course Code

1.2 Qualification/Course Name

2. What study option will you be choosing?

Full Time Part Time

3. Planned Training Start Date

Planned Training End Date

I declare that the information I have provided is true and correct. I am aware of the consequences that may arise from providing false, misleading or incomplete information, including the cancellation of my enrolment or the withdrawal of any offer made by the Smart and Skilled training provider, SCA Hair & Beauty Academy, and/or the Department of Industry, Skills and regional development. SCA Hair & Beauty Academy will collect your personal information for the purposes of training, assessment, reporting, administration and evaluation of the program you are involved in. Your information, progress and results will be reported to the Department of Education and Communities which are responsible for funding. This information will be held securley and is governed by the Privacy Act of 1988.

I accept the above statement

Todays Date

I, (First Middle and Last Name)

Of (Current Residential Address)

With date of Birth

Understand and agree that personal information (information or an opinion about me), collected from me, my parent or guardian, such as my name, Unique Student Identifier, date of birth, contact details, training outcomes and performance, or sensitive personal information (including my ethnicity or health information) (together personal information) collected by SCA Hair & Beauty Academy Pty Ltd may be disclosed to the department of Industry, Skills and Regional Development (department). The Department may disclose my personal information to other Australian government agencies, including those located in States and Territories outside New South Wales. The above government agencies may use my personal information for any purpose relating to the exercise of their government functions, including but not limited to the evaluation and assessment of my training, the determination of my eligibility to receive subsidies training or for any fee exemptions or concessions. My personal information may also be disclosed to other third parties if require by law. I consent to the collection, use and disclosure of my personal information in the manner outlined above. I also acknowledge and agree that the Department may contact me by telephone email or post during or after I have ceased subsidies training with SCA hair & Beauty Academy Pty Ltd for the purposes of evaluating and assessing my subsidised training.

I agree to the above statement

Full Name

Todays Date

Signature

If under 18 years, Guardian Full Name

Signature